I can see the status bar

Chapter 513 Waiting for inspection

The emergency department of the Affiliated Hospital of Ningyuan Medical College is much smaller than the fourth hospital, a large emergency center. At least they don't have an emergency building of their own, nor do they have emergency rooms with dozens of beds like the fourth hospital.Their emergency room is divided into three parts to receive stroke, chest pain, and general emergency patients.Although the distribution of moving lines is reasonable, after all, it is a facility built many years ago, and the emergency department is the most intensively used department in the entire hospital. Therefore, even with the careful care of medical staff and property management, there are still traces of use all over the place. There was a sense of dilapidation that couldn't be concealed.

Sun Li'en looked at this familiar place, and felt a little emotional in his heart - he didn't feel that there was any dilapidated feeling here before.At that time, all his thoughts were put on the practice, and he was dizzy and dizzy, but he didn't have time to pay attention to it.

"Isabella, we are here." Xu Yourong quickly found Isabella who was looking anxious at the registration window, and ran over with Sun Li'en.She took over the case and registration notice from Isabella, and took her place directly, "Let me line up, how is Todd?"

"The doctor has already taken him for a CT scan." Isabella finally waited for reinforcements, which instantly relaxed her tense nerves, "He... he still hurts, and the doctor refused to give him Take any type of pain reliever."

Persistent and intense headaches are unbearable for an adult, let alone a child about to enter fourth grade.Sun Li'en sighed helplessly, and he also understood the reason why colleagues in the affiliated hospital refused to use painkillers.For such a young child, the dose of effective pain medication is difficult to estimate with precision.At the same time, Little Todd, who is still showing severe pain, can also remind doctors of the location of his lesion to a certain extent.

Based on the experience of the emergency department, such severe and persistent headaches are generally closely related to cerebral blood vessels.If painkillers are used rashly on Todd, overly strong drugs may directly cover up his main symptoms, and even make it difficult for doctors to notice the deterioration of the condition.

It seems cruel, but it does have very important practical implications.

After comforting Isabella a few words, Sun Lien left Xu Yourong and Isabella to continue to deal with these related matters, and ran towards the imaging department of the affiliated hospital by himself. The CT examination is very fast, but the CT room of the affiliated hospital has always had heavy tasks.He should be able to see Todd before he is sent back to the emergency department.

Soon, he ran to the imaging department of the affiliated hospital, which looked a little strange now.And successfully found little Todd who was preparing to be pushed into the CT examination room.

"Todd, male, 9 years old, lymphocytosis in cerebrospinal fluid (11.32.18), fever (09.21.33) meningitis (08.11.32), facial peripheral neuritis (00.55.32), mild pericarditis (00.31.52. [-])"

"Hey, young man." After reading the status bar, Sun Li'en patted Todd's shoulder lightly, and then said in a calm tone, "Yourong and I are here, are you okay?"

"It hurts..." Little Todd looked really distressed.The neat hairstyle he is most proud of is now messy like a chicken coop, and his whole body is wet. It is not clear whether it is the mineral water poured by the physical education teacher to treat "heatstroke" before, or he himself was caused by the pain. sweat.Todd, whose face was deformed by the pain, managed to squeeze out a sentence from his throat, "Help me..."

"I'll find a way." Sun Li'en patted the back of his hand, and looked up to see if there were any acquaintances present. Unexpectedly, when he looked up, he saw the director of the video department who had dinner together waving at him. .

"Do you know this kid?" Director Wei ordered someone to push Todd into the room, and then he took Sun Lien to the operating room beside him. "Why didn't you send it directly to your fourth courtyard?"

Sun Lien sighed, "This child is the child of an American expert in our diagnostic center, and he suddenly fell ill today. The school called 120, and he should have sent him to our affiliated hospital nearby." He was through the window of the operating room Looking at Little Todd who was holding his head, "His parents are both Americans, and they are not familiar with our process here, so I came here to help take a look... and I am indeed familiar with their whole family, We will still be together this Chinese New Year.”

Director Wei silently glanced at the image on the computer screen, "Such a severe headache, maybe it's a cerebrovascular accident."

Although the symptoms have been clarified through the status bar, Sun Lien is still a little uncertain just looking at the symptoms.The headache caused by meningitis should not be so serious, and the symptoms of facial peripheral neuritis should be facial paralysis rather than such severe pain.He could only use what he had already learned to guide Director Wei's opinion, "This kid had a head MRI two years ago in the United States, and the result of the examination at that time was that everything was normal."

Just like when Sun Lien first heard the news, Director Wei also specifically asked about the reason for this inspection.When he heard the reason for this inspection, like Sun Lien, he was stunned for a while before sighing.

"There is nothing wrong with the CT scan. There are no particularly obvious signs of hematoma or bleeding." The biggest advantage of the CT scan is that it is fast enough, but Todd has been moving in pain, and the imaging is a bit blurry. "You can't go on like this, Xiao Sun, why don't you change into a lead suit to fix it?"

Of course, Sun Lien would not refuse this kind of proposal. He stood up, took off a lead suit from the wall behind him, put it on and said to Director Wei, "Director Wei, since you are here, wait a while Why don't you give him another MRI? I'll make up for the doctor's order and payment later."

"The two MRI machines in our department are currently in use, and it's a bit difficult to add a stopper temporarily. Even if it's done in the emergency department, you have to wait for 10 minutes at the fastest." Director Wei was a little helpless, "There are too many MRIs in your hospital. Well, our MRI here is a real sweet potato—everyone is waiting to use it.” He thought for a while and suggested, “If not, why not just transfer this child to another hospital! It’s very convenient for you to contact the transfer hospital, isn’t it?”

During the few minutes while holding Todd's head in the CT room, Sun Li'en was thinking about transferring him to another hospital.From a personal point of view, he is actually not very willing to intervene in Todd's case.How dark his face is, Sun Li'en is not only aware of it now, he is even a little afraid of his own dark face.What if Todd really came up with a rare disease?

His current state is relatively clear, with meningitis, facial peripheral nerve inflammation, and pericarditis.This should be caused by some kind of infection, and the suggestion of increased lymphocytes in the cerebrospinal fluid is repeated with meningitis, so the reference significance is not particularly great.Judging from the time, his high fever should be caused by meningitis, and it has little to do with the mild pericarditis that only occurred for about 10 to [-] minutes.

For the entire transfer process, the greatest risk is undoubtedly the meningitis that is causing obvious symptoms.This has already led to obvious meningeal irritation symptoms on Todd's body.He needs anti-infection treatment as soon as possible, and also needs to clarify the type and source of infection as soon as possible.

After much deliberation, Sun Lien made a decision—to do a lumbar puncture for Todd immediately in the affiliated hospital to determine the type of infection. If the type of infection cannot be determined, then see if the affiliated hospital can arrange an MRI immediately.If not, then transfer to the fourth hospital, and then complete the examination and formulate a treatment plan.

Anyway, Qian Hongjun is also in the diagnosis team now, and there is such a director of pediatrics in the team, so it is not for nothing.

(End of this chapter)